Nov 10, 2011According to the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary(p1717-18)“In symptomatic aortic stenosis, elective noncardiac surgery should generally be postponed or canceled. Such patients require aortic valve replacement before elective but necessary noncardiac surgery. . . On the other hand, in patients with severe aortic stenosis who refuse cardiac surgery or are otherwise not candidates for aortic valve replacement, noncardiac surgery can be performed with a mortality risk of approximately __%”a) 0.5b) 2c) 10d) 30

Nov 9, 2011According to the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary(p1715, 1718)“functional capacity has been classified asexcellent (greater than 10 METs), good (7 to 10 METs), moderate (4 to 7 METs), poor (less than 4 METs), or unknown. Using the “Duke Activity Status Index,” which activity level best approximates 4 METS?a) “Walk a block or 2 on level ground at 2 to 3 mph (3.2 to 4.8 kph)?”b) “Climb a flight of stairs or walk up a hill?”c) “Do heavy work around the house like scrubbing floors or lifting or moving heavy furniture?”d) “Participate in moderate recreational activities like golf, bowling, dancing, doubles tennis, or throwing a baseball or football?”

Nov 9, 2011 - Weekly Quiz For the General PublicAccording to the CDC’s Prescription Painkiller Overdoses in the U.S. Nov 2011“Many more ___ die of overdoses from prescription painkillers.________ have the highest prescription painkiller overdose rates.People in rural counties are about two times as likely to overdose on prescription painkillers as people in big cities._______ and American Indian or Alaska Natives are more likely to overdose on prescription painkillers.”a) women than men ; Older teens ; Hispanicsb) men than women ; Middle-aged adults ; Whitesc) women than men ; Older teens ; Whitesd) men than women ; Middle-aged adults ; Blacks

Nov 8, 2011According to the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary(p1724)“Implantable cardioverter defibrillator devices should have their tachyarrhythmia treatment algorithms __________ before surgery” “Programming the shock function off with an ICD programmer (and turning it back on after the surgery) is the preferred method of addressing these issues” since magnets have variable effects on the shock function.a) suspended with a magnet as the preferred methodb) checked but not alteredc) adjusted to “high sensitivity electrocautery detection”d) programmed off

Nov 7, 2011According to the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary(p1723-24)“Patients with permanent pacemakers who are pacemaker dependent should have their device evaluated within 3 to 6 months before significant surgical procedures, as well as after surgery. . . include major abdominal or thoracic surgery, particularly when the surgery involves large amounts of electrocautery. If a patient is pacemaker dependent, the device should be reprogrammed to ___________, or a magnet should be placed over the device during surgery. ” a) an asynchronous mode during surgery (VOO or DOO)b) a synchronous mode during surgery (VDD or DDD)c) a deactivated moded) to AAI or VVI demand mode at 60 bpm

Nov 1, 2011According to the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summaryhttp://content.onlinejacc.org/cgi/reprint/50/17/1707.pdf(p1712)“Recommendations for Noninvasive Stress Testing Before Noncardiac Surgery”“Noninvasive stress testing of patients _______ and poor functional capacity (less than ___metabolic equivalents [METs]) who require________‡ is reasonable if it will change management.” “Clinical risk factors include history of ischemic heart disease, history of compensated or prior heart failure, history of cerebrovascular disease, diabetes mellitus, and renal insufficiency”Cr >/= 2.0 is referred to in the full guidelines but not the summarya) with or without clinical risk factors ; 8 ; any surgeryb) with 1 or more clinical risk factors ; 8 ; vascular surgeryc) with 2 or more clinical risk factors ; 4 ; high-risk surgeryd) with 3 or more clinical risk factors ; 4 ; vascular surgery